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  #1  
Old 11-01-2012
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Neuro Complex partial seizure versus partial seizure with secondary generalization

QID 2680 uworld

friends, any clue to differentiate them in exam ? i m pi**ed off

please help

uworld says that tongue bite does not happen in CPS . CPS is generalized seizure . right ? so why this tongue bite dilemma ?
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Old 11-02-2012
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CPS Is not a generalized seizure.

CPS: Automatisms (Chewing, Lip smacking, picking movements of hands, etc.)
Partial with Generelization: TONIC-CLONIC movements.

Both can have a Post-Ictal state or Impaired / loss of consciousness.

Tongue biting is a sign of TONIC CLONIC activity, along with bladder incontinence, etc. Hence if unwitnessed seizure and there is tounge biting, its more likely Partial WITH generalization than CPS.

This is what I have understood atleast. Correct me if I am wrong.
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Noa2013 (05-20-2015), sadaf1987 (07-10-2015), tyagee (11-05-2012)
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Old 11-05-2012
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u seem correct. thanks alot

one thing, CPS= partial seizure + automatism[Loss Of conciousness episode] or any other feature ?

CPS!!!!
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